OrganizationActive
Alliance Physician Inc
NPI 1730461047 · Surgery Physician · Beavercreek, OH
Provider details
- NPI number
- 1730461047
- Entity type
- Organization
- Primary specialty
- Surgery PhysicianAllopathic & Osteopathic Physicians
- Parent organization
- Alliance Physician Inc
- Organization subpart
- Yes
- Authorized official
- Daniel Haibach, Director Business Development(937) 558-3222
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Vascular Surgery Physician2086S0129X
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(81/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
14 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
2141 N Fairfield Rd
Suite B
Beavercreek, OH 45431-2579
Phone: (937) 458-0085
Fax: (937) 458-0212
Street-level locationGet directions
Mailing address
2110 Leiter Rd
Miamisburg, OH 45342-3660
Other names (DBA / former)
- Doing business as
- Kettering Vascular Surgery Associates
Registry dates
- Enumerated
- 2011-09-13
- Last updated
- 2013-09-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.